Fraud and Risk
by Shift Technology · Insurance core · Paris, France
AI agents to detect fraud, automatically assign cases, guide investigations, and adapt fraud strategies autonomously.
What Fraud and Risk does
- Assess claims for fraud indicators
- Automatically assign cases to appropriate experts
- Guide fraud investigations
- Autonomously adapt fraud strategies
- Identify suspicious activities at first notice of loss
- Detect fraud techniques not previously noticed
What Fraud and Risk is used for
- Consistently identify suspicious activities
- Protect against fraudulent policy applications
- Enhance fraud detection efficiency
- Improve detection of previously unknown fraud patterns
Who Fraud and Risk is for
- Insurers
About Shift Technology
AI agents for insurance claims, fraud detection, coverage assessment, subrogation and payment integrity.
Shift Technology in the vendor registry: its products, features and similar vendors.
Also by Shift Technology
- Coverage & Liability: AI agents to assess policy coverage, analyze liability, and guide liability determinations with defensible logic.
- Subrogation: AI agents to assess subrogation opportunity, create initial demand packages, review third party responses, and guide negotiations.
- Injury: AI agents to assess medical billing applicability, estimate medical duration, and develop accurate treatment plans.
- Process: AI agents to accelerate claims processing, mitigate loss, and identify customer satisfaction concerns.
- Payment Integrity: AI solution to ensure healthcare payment accuracy and maximize plan savings.
- Insurance Data Network: Agentic intelligence layer assessing cross-carrier claim history and recommending next actions for claims handlers.
More in this category: Insurance policy administration and claims software.
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